Patient Care Coordinator

About the role

This is a high volume, customer service environment. You'll need to be efficient, productive and thoroughly deal with our members over the phone. You also must be able to work on a flexible schedule that includes evening hours.

Responsibilities

• Manage the intake of members or the admission/discharge information post notification
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
• Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
• Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention
• Handle resolution/inquiries from members and/or providers

Requirements

• A High School Diploma/GED (or higher)
• 4+ years of customer service experience
• 1+ years of customer service experience
• Ability to create, edit, save and send documents utilizing Microsoft Word and Excel
• Ability to type and talk at the same time and navigate through multiple screens

Preferred Qualifications

• Experience working within the health care industry and with health care insurance
• Clerical or administrative support background
• Knowledge of ICD-9 and CPT codes
• Experience working with Medicare and/or Medicaid Services
• Call center experience
• Experience working in a metric-driven work environment

Soft Skills

• Ability to accurately sort and file materials by alphabetic or numeric systems
• Effective communication and customer service skills

Benefits

• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

Pay

The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Schedule

Monday - Friday, 8 AM - 5 PM CST

Location

WellMed at South Stuart - 2155 SE Federal Highway, Stuart, FL 34994